The Effect of Virtual Reality Based Task Specific Exercises in Patients With Hand Flexor Tendon Injury

Flexor Tendon Rupture Clinical Trial

Official title:

Evaluation of the Effect of Virtual Reality Based Task Specific Exercises on Functional Level and Disease Related Quality of Life in Patients With Hand Flexor Tendon Injury

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06198582
• Other study ID #: 263799996/75
• Status: Completed
• Phase: N/A
• Start date: June 1, 2021
• Est. completion date: January 31, 2022

Study information

• Verified date: January 2024
• Source: Ankara City Hospital Bilkent
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study,the investigators aimed to investigate the effects of virtual reality-based task-specific exercises applied in addition to conventional rehabilitation program on functional level and disease-related quality of life in patients who underwent surgical repair due to flexor tendon damage due to traumatic hand injury.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 52
• Est. completion date: January 31, 2022
• Est. primary completion date: January 31, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Tendon repair operation due to flexor tendon injury in one hand

• Admission to the Traumatic Hand Rehabilitation Outpatient Clinic of Ankara City Hospital Physical Medicine and Rehabilitation Hospital within the first postoperative week and enrolled in an early passive mobilization program

• Must be in the sixth post operative week

Exclusion Criteria:

• Under 18 years of age

• Concomitant extensor tendon injury

• Having any accompanying orthopedic, neurologic, rheumatologic and vascular problems in the premorbid period

• Presence of cognitive deficit

• Presence of visual field deficit

• Presence of postural instability

• Presence of epilepsy and/or cyber disease

Related Conditions & MeSH terms

• Flexor Tendon Rupture
• Rupture
• Tendon Injuries
• Tendon Injury - Hand
• Wounds and Injuries

Intervention

Other:
• Virtual Reality Exercises
In addition to conventional treatment, patients in the study group underwent a virtual reality-based task-specific exercise program in a computer-based virtual reality station. Two different virtual reality games that fit the definition of task-specific exercise were selected for our study. In order for the patient to complete the task in the game, the patient was asked to extend the upper extremity and hand to touch the virtual object through the reflection on the screen and to first grasp the object in the virtual environment by making active flexion with all fingers and to move it from one place to another on a certain plane without disturbing the grasping posture of the hand. These virtual reality exercises selected in our study were practiced under the supervision of the researcher 3 days a week for 15 minutes each for a total of 4 weeks. These sessions consisted of three sets of 2.5 minutes each for each game, with 15-second breaks between sets.

Locations

Country	Name	City	State
Turkey	Ankara Bilkent City Hospital	Ankara

Sponsors (1)

Lead Sponsor	Collaborator
Ankara City Hospital Bilkent

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in short form-36 (SF-36) scores	A scale used for determining quality of life. This form evaluates the quality of life under 9 different headings. Minimum value of all headings is %0 and maximum is %100. Higher scores mean a better outcome.	Pre-intervention (postoperative sixth week), immediately after the intervention (postoperative tenth week)
Primary	The functional level of dexterity and coordination	The functional level of dexterity and coordination was assessed with the Nine-Hole Peg Test. The test material for this test consists of nine standardised pegs and a board with nine holes equidistant from each other. When the patient feels ready, the patient is asked to close the nine holes as quickly as possible, regardless of the order of the sticks, provided that the patient places one stick at a time. Once all the holes have been filled, without a break, the patient is asked to remove the rods one by one from the holes and put them back where they came from. From the moment the patient touches the first stick, the observer starts timing. When the last rod is removed and placed in the area where the rods were taken, the time is stopped and recorded. In measurements made in different periods in the same patient, completion of the test in a shorter time indicates improvement in hand skills.	Pre-intervention (postoperative sixth week), immediately after the intervention (postoperative tenth week)
Primary	Dexterity-related activity limitations in activities of daily living	Dexterity-related activity limitations in activities of daily living were assessed by Duruöz hand index and Quick Disability of Arm, Shoulder and Hand. Duruöz hand index includes 18 questions on manual dexterity related to "kitchen work, dressing, personal hygiene, office work and other activities of daily living". The questionnaire takes approximately 2-3 minutes to complete. The minimum score that can be obtained from the questionnaire is 0 points while the maximum score is 90 points. A lower score indicates fewer limitations in activities of daily living. The Quick Arm, Shoulder and Hand Disability Scale consists of 11 questions. Minimum value of the scale is 0 and maximum is 100. Higher scores mean a worse outcome.	Pre-intervention (postoperative sixth week), immediately after the intervention (postoperative tenth week)
Secondary	Grip strength	The grip strength was measured with a Jamar dynamometer. The measured value was recorded in kilograms.	Pre-intervention (postoperative sixth week), immediately after the intervention (postoperative tenth week)
Secondary	Change in active range of motion	Range of motion was measured using a standard hand goniometer and the measured degree was recorded.	Pre-intervention (postoperative sixth week), immediately after the intervention (postoperative tenth week)